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-5- <br />Jl:rt?s and Exhibits: <br />T%%o (2) complete. unbound application packages must be submitted. One complete application package consists of a signed application <br />form and the set of maps and exhibits referenced heloxv as FAIiihits A-S, Addendum 1, and the ( ieotechnical Stability I• xhibit. Fach exhibit <br />within the application must be presented as a separate section. Begin each exhibit oil a ncxx page. Pages should he numbered consecutively <br />for case of reference. 11'separate documents are used as appendices, please reference these by name in the exhibit. <br />With each of the two (2) signed application forms. you must submit a corresponding set of the maps and exhibits as described in the <br />t'611( wing relerctlccs to Rule 6.4, 6.5, and 1.6.2( 1 )(b): <br />Exi I MIT A Legal Description <br />i:XIHi311 13 index Map <br />I:Xlill3ff C Pre-Mining and Mining Plan Ntap(s) of Affected Lands <br />I: illill'I 1) dining plan <br />EXHII31'l 1: Reclamation Plan <br />i:XIII131T F Reclamation Plan Map <br />IiXI IIM I' G Watcr lnfornnation <br />F.XH1131T iI Wildlife Information <br />EXIIIIII I I Soils Int61.1lirlion <br />1:X1{11311 J Vegetation Information <br />FXIIIBI I' K Climate Information <br />I'Al Ii I F I. Reclamation Costs <br />1{\1111311' \11 Other Permits and Licenses <br />EXI III31 1 N Source of l-cgal Right- Io-Filter <br />FAI11131 F 0 Oxyiners of Record of Affected Land (Surface Area) and Owners of Substance to be tinned <br />EXII1131 1 1' Municipalities within Two Miles <br />l;xIlff3l I (1 Proof'of Mailing ot'Notices to County Commissioners and Conservation District <br />EXi 111311' R Proof of Filing with County Clerk or Recorder <br />EXII1131 I S Permanent Man-Made Sinictures <br />Rule 1.6.2(1)(b) ADDENDUNJ I - Notice Requirements (sample enclosed) <br />Rule 6.5 (icotechnical Stability Exhibit (any required sections) <br />The iminmions for preparini 1=.xhi bits A-S. Addendum 1, and Gcotechnical Stability i:xhibit arc specified rider Rule 6.4 and 6.?; and <br />Rule 1.6.2(1 )(h) of the Rules and Re gulations. lfyou ha\ e any ilucstions on preparing the Exhibits or content of the inlornuntion required, <br />of would like to schedule a pre-appl ication meeting you may contact the Oflicc at :(l -X(16- 3567, <br />Ices x?nsihilitics as st_I'ermittee? <br />(.poll application approval and permit issuance, this application becomes a legally binding document. fhcrclorc, there arc a <br />rlunlber of innpOlWill reyuiremenls which you, as a permittec, should Cully understand. i'hesc requirenicnts are listed below. <br />Please read and initial each requirement, in the space provided, to acknowledge that you understand your obligations. Ifyou du <br />not understand these obligations then please contact this Office tier a Ilill explanation. <br />#2 1 Youl obligation to i,,ci:urii dic ,1t, I;, not hiiuted ter 111C ann unt of tilt iiriartci: l wurratlty. YOU <br />a;suittc Icpal <br />liability for all reasonable expenses which the 130;11(1 or thL• ( )(lice may incur to rccl:lirtl the affected kinds :l occ?ted <br />xvith your mining Operation in the cx cnt your r(.1 mit i? revoked and tinailcial x;varl'3MN t> tnrfClted: